MEDICARE: DR. SIDHARRTH MEHTA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	70070746	WA

General Provider Information

NPI Number	:	1023961752
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SIDHARRTH MEHTA

Provider Business Mailing Address
First Line	:	21900 E COUNTRY VISTA DR UNIT A102
Second Line	:
City	:	LIBERTY LAKE
State	:	WA
Zip	:	99019-5150
Country	:	US
Telephone Number	:	567-801-0080
Fax Number	:

Provider Business Practice Location Address
First Line	:	21900 E COUNTRY VISTA DR UNIT A102
Second Line	:
City	:	LIBERTY LAKE
State	:	WA
Zip	:	99019-5150
Country	:	US
Telephone Number	:	567-801-0080
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/20/2026
Last Update Date	:	06/03/2026

Similar Medicare Providers

1750213971 — EMANUEL PEREDA
Practice Location Address:

5150 TRAIL LAKE DR
FORT WORTH, TX
76133-2030

Practice Phone: 817-380-8115
Practice Fax:

1578558995 — MR. DEVIN S HEALY M.ED., ATC/L
Practice Location Address:

5150 LONG LAKE CIR , APT 107
LAKELAND, FL
33805-9604

Practice Phone: 863-370-1809
Practice Fax:

1336202498 — TAMMY L EVANS
Practice Location Address:

5150 FOUNTAINS DR S
LAKE WORTH, FL
33467-5715

Practice Phone: 843-455-2415
Practice Fax:

1285756775 — DANA TOWLER M.S., CCC-SLP
Practice Location Address:

5150 NORTHWEST HWY
CRYSTAL LAKE, IL
60014-8058

Practice Phone: 815-455-9800
Practice Fax: 815-455-9359

1295941268 — JEANNE GIAMPA PT
Practice Location Address:

5150 NORTHWEST HWY
CRYSTAL LAKE, IL
60014-8058

Practice Phone: 815-455-9800
Practice Fax:

1164638342 — MRS. RACHEL ELLEN VEZEAU PT
Practice Location Address:

5150 NORTHWEST HWY
CRYSTAL LAKE, IL
60014-8058

Practice Phone: 815-455-9800
Practice Fax:

Directions to “ DR. SIDHARRTH MEHTA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.